Periodontics, Mark I. Gutt, Miami, Oral Health Care

Tooth Extraction

Dental extractions are performed for a variety of reasons including tooth decay, injury, and for orthodontic treatment. Extractions are a relatively common procedure in most dental offices. The difficulty of the procedure varies depending the case and the patient; however, anesthesia is always used to numb the area and make the procedure as comfortable as possible.

Types of Extractions

There are two forms of extraction: simple and surgical extractions.

Simple extractions are performed on teeth that can be seen in the mouth. They are removed due to decay or injury and are usually performed under a local anesthetic. During this procedure, Dr. Gutt will grasp the tooth with forceps and loosen it by moving the forceps back and forth. The loosened tooth will then easily come out. Dr. Gutt also is now using a newer instrument called the Physics Forcep that allows for even easier and faster extraction.

Surgical extractions are performed on teeth that have broken off at the gum line or that have not yet come in (ie: wisdom teeth). To remove the tooth, Dr. Gutt will have to cut to the area. This is necessary so that he can see the tooth that needs to be removed. Surgical extractions are usually done with local anesthesia.

Reasons for Tooth Extraction

The most common reason for removal of a tooth is severe decay or breakage of a tooth. However, teeth may also be removed because of:

Severe tooth decay or infection
Extra teeth that are blocking other teeth from growing in
Severe gum disease
To make room for orthodontic treatment
The tooth can not be restored endodontically
Fractured teethTo make room for a dental prosthesis (i.e.: bridge or denture)
Cosmetic reasons

Regardless of the reasons a tooth must be pulled, extraction is usually reserved only for cases in which no other treatment option will cure the infection or problem.